The nurse who is responsible for following the patient from admission through discharge or resolution of illness while working with a broad range of health care providers is called a:

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Contemporary Ethical Issues in Nursing Questions

Question 1 of 9

The nurse who is responsible for following the patient from admission through discharge or resolution of illness while working with a broad range of health care providers is called a:

Correct Answer: B

Rationale: The correct answer is B: case manager. A case manager is responsible for coordinating care for a patient from admission to discharge, collaborating with various healthcare providers. This role involves managing the patient's overall care plan, ensuring continuity and efficiency. The other choices are incorrect because: A: Nurse manager focuses on managing nursing staff and unit operations, not individual patient care. C: Coordinator of patient-centered care delivery may oversee care coordination but does not necessarily follow the patient throughout the entire care journey. D: Team leader in team nursing care delivery is focused on leading a specific nursing team, not managing the patient's entire care process.

Question 2 of 9

A young child is having abdominal pain, and the doctor informs the parents that a computed tomography (CT or CAT) scan of the abdomen will be ordered. The doctor tells the child, "This CAT scan won't hurt you." The child is visibly upset because of a fear of cats. According to Mishel's uncertainty in illness theory, which stage of the framework is represented?

Correct Answer: A

Rationale: Step 1: The child is upset due to a fear of cats, leading to uncertainty about the situation. Step 2: Mishel's uncertainty in illness theory focuses on how individuals respond to uncertainty in health-related situations. Step 3: In this case, the child's fear of cats creates a misinterpretation of the term "CAT scan." Step 4: This misinterpretation falls under the Stimuli frame stage, where the individual perceives the situation based on external cues. Step 5: Other choices are incorrect as they do not directly address the initial misinterpretation caused by the fear of cats. In summary, choice A is correct because it aligns with Mishel's theory by highlighting the initial stimuli (fear of cats) causing uncertainty in the child's understanding of the situation. Choices B, C, and D are incorrect as they do not address the specific misinterpretation of the term "CAT scan" due to the fear of cats.

Question 3 of 9

A researcher calculated the risk-to-benefit ratio and concluded that no harmful effects were associated with a survey of college sophomores. The researcher was applying the principles of:

Correct Answer: A

Rationale: The correct answer is A: beneficence. Beneficence refers to the ethical principle of maximizing benefits and minimizing harm in research. In this scenario, the researcher calculated the risk-to-benefit ratio and concluded that no harmful effects were associated with the survey of college sophomores. By considering the well-being of the research participants and ensuring that the benefits outweigh any potential risks, the researcher demonstrated the application of beneficence. Summary: Choice A is correct because it aligns with the ethical principle of beneficence in research. Choices B, C, and D are incorrect as they do not directly relate to the consideration of risks and benefits in research involving human participants.

Question 4 of 9

A nurse manager plans the fiscal budget to include salaries for two RNs for two 12-hour shifts with a patient census of 6 in the short-stay observation room. The nurse manager reviews the budget report 3 months later and notes that the salary expenses are higher than was budgeted because of higher-than-planned RN staff salaries. This additional RN staff is necessary to meet patient care needs because the census has remained constant at 10 patients rather than the 6 projected when the budget was developed. The difference between the planned budget and the actual cost is known as:

Correct Answer: B

Rationale: The correct answer is B: variance. In this scenario, the nurse manager planned a budget based on a patient census of 6 but the actual census remained constant at 10, leading to higher-than-planned RN staff salaries. The difference between the planned budget and the actual cost is known as a variance. Variances help identify discrepancies between planned and actual expenses, enabling managers to adjust budgets accordingly. Revenue (A) refers to income generated, not the difference between planned and actual expenses. Monitoring (C) is the process of overseeing and evaluating activities, not specifically related to budget discrepancies. Capital expenditures (D) are long-term investments in assets, not related to budget variances.

Question 5 of 9

It is important to realize that nurses may seek unionization if: (select all that apply)

Correct Answer: C

Rationale: Rationale: Choice C is correct because it highlights a significant issue related to patient safety - medication errors caused by delayed shift reports. This creates a legitimate concern for nurses regarding the effectiveness of communication and ultimately patient care. Seeking unionization could be a way for nurses to address this issue collectively. Summary: - Choice A is incorrect as it focuses on physician coverage rather than nurse concerns. - Choice B is incorrect as it addresses staffing and scheduling but does not directly relate to nurses seeking unionization. - Choice D is incorrect as it describes a collaborative care approach, which does not necessarily indicate a need for unionization among nurses.

Question 6 of 9

The advanced practice nurse who is seeking information about requirements for practice in a specialized area should contact the:

Correct Answer: C

Rationale: The correct answer is C: American Nurses Credentialing Center (ANCC). ANCC is the primary organization responsible for certifying advanced practice nurses in specialized areas. They provide information on requirements for practice, certification exams, and continuing education. ANA (A) focuses on promoting the profession of nursing. NLN (B) focuses on nursing education. NCSBN (D) oversees the state boards of nursing and does not specifically provide information on requirements for practice in specialized areas.

Question 7 of 9

A person who is covered by Medicaid moves from one state to another and asks the nurse at the health department why the benefits changed. The correct response by the nurse is:

Correct Answer: D

Rationale: The correct answer is D: "Medicaid is funded by both state and federal governments, but benefits vary from state to state." Rationale: 1. Medicaid is a joint federal and state program, meaning it is funded by both levels of government. 2. States have flexibility in designing and administering their Medicaid programs, leading to variations in benefits across states. 3. When an individual covered by Medicaid moves to a different state, they may experience changes in benefits due to these state-specific variations. Summary: A: Incorrect. While local governments may have some influence, Medicaid is primarily funded by both state and federal governments. B: Incorrect. The federal government does provide funding for Medicaid, but states also contribute, and benefits do vary across states. C: Incorrect. State benefits under Medicaid are not solely determined by the present economy; they are influenced by various factors and state policies.

Question 8 of 9

A group of nurses meet with a state representative to explain the importance of allowing registered nurses the right to sign death certificates for patients who were under their care. As constituents and nurses, they requested that the senator vote against the bill restricting this practice. These nurses are serving as:

Correct Answer: A

Rationale: The correct answer is A: lobbyists. The nurses are acting as lobbyists by advocating for a specific cause (allowing RNs to sign death certificates) to the state representative. They are not policymakers (B) because they are not directly making decisions or creating policies. They are also not officials with regulatory power (C) as they are not in a position to enforce regulations. Lastly, they are not advocating for the Patient Safety and Quality Improvement Act (D) specifically in this scenario.

Question 9 of 9

Cover letters:

Correct Answer: A

Rationale: The correct answer is A because a cover letter should express genuine interest in the employer and show that you have taken the time to understand their organization. This demonstrates professionalism and a tailored approach. Choice B is incorrect because handwritten letters are rarely used in the digital age, and legibility is not a primary concern. Choice C is incorrect as cover letters should provide sufficient information to showcase qualifications, not limited to one paragraph. Choice D is incorrect because revealing desired salary, shift, and area of practice is typically done during the interview process, not in the initial application.

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